Mana Hale Small Grant Program

Mana Hale Small Grant Program

Submit by October 31, 2026.
Section 1. Organization information
Legal organization name
DBA / trade name
Employer identification number
California street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Website
Primary contact name

First NameLast Name
Primary contact title
Primary contact email
example@example.com
Primary contact phone
Please enter a valid phone number.Format: (000) 000-0000.
Section 2. Verification of active 501(c)(3) status

Attach one of the following:
Verification type
Upload verification document

Cancelof
Upload fiscal sponsor documents

Cancelof
Section 3. Lobbying certification
The undersigned certifies, on behalf of the applicant organization, that:
1. The organization is organized and operated exclusively for charitable, scientific, or educational purposes, and no substantial part of its activities consists of attempting to influence legislation.
2. The organization does not participate in any political campaign for or against a candidate for public office.
Agreement
Section 501(h) election made?
If yes, state lobbying expenditures as a percentage of total expenses for the most recent fiscal year
Section 4. Relationship certification

The undersigned certifies that neither the applicant organization nor any of its directors, officers, or staff has any relationship with Mana Hale Foundation, SRM, Pillar Properties, or any director or officer of Mana Hale Foundation, except as described below.
If a relationship exists, describe it here. A minor connection does not disqualify an applicant. The Board reviews what is disclosed and decides whether it is material.
Section 5. Mission alignment

The undersigned certifies that neither the applicant organization nor any of its directors, officers, or staff has any relationship with Mana Hale Foundation, SRM, Pillar Properties, or any director or officer of Mana Hale Foundation, except as described below.
In one paragraph, describe your organization’s work in affordable housing or services for seniors in California, the results you have achieved, and what the grant will be used for. Include specific numbers where you can, such as units developed or preserved, households housed, or individuals served, and the time period they cover.
Section 6. Signature
I certify that the information provided in this application is true and complete to the best of my knowledge, and that I am authorized to submit this application on behalf of the organization.
Signature
Printed Name

First NameLast Name
Title
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Mana Hale Small Grant Program

Section 1. Organization information

Section 2. Verification of active 501(c)(3) status

Section 3. Lobbying certification

Section 4. Relationship certification

Section 5. Mission alignment

Section 6. Signature